Mercadante Sebastiano, Adile Claudio, Ricci Marianna, Maltoni Marco, Bonanno Giuseppe, Casuccio Alessandro
La Maddalena Cancer Center, Via San Lorenzo, Palermo, Sicily, Italy.
Private Hospital La Maddalena Palermo, Sicilia, Italy.
Am J Hosp Palliat Care. 2022 Jun;39(6):705-709. doi: 10.1177/10499091211041349. Epub 2021 Sep 8.
The aim of this study was to assess the religious pattern and its impact on symptom expression in patients with advanced cancer.
A consecutive sample of advanced cancer patients screened at admission to palliative care. Standard epidemiological data were recorded. Patients were asked about their religious beliefs, the degree of social relationship to existing religions, the role of religion in their life, and the frequency of their prayer. The Edmonton Symptom Assessment Scale (ESAS) and Hospital Anxiety Depression scale (HADS) were assessed.
Two-hundred-eighty-three patients were screened. Age and gender were found to be independently correlated with religious belief (p = 0.042 and p = 0.016, respectively). Gender (females, p = 0.026), age (p = 0.003), lower Karnofsky performance status (KPS) (p = 0.022), and higher values of HADS-A (p = 0.003) were independently correlated with the degree of social relationship to existing religions. Gender (females, p = 0.002), lower KPS (p = 0.005), and higher values of HADS-A (p = 0.04) were independently correlated with a more relevant role of religiosity. Gender (females, p < 0.0005), lower KPS (p = 0.001), and drowsiness (p = 0.05) were independently correlated with frequency of prayer.
The more the patients have demanding religious issues, the greater the state of anxiety, particularly in older and female patients with a lower KPS. The religious pattern did not have relevant role in the expression of other symptoms included in the ESAS.
本研究旨在评估晚期癌症患者的宗教模式及其对症状表现的影响。
对连续入选姑息治疗的晚期癌症患者进行抽样。记录标准流行病学数据。询问患者的宗教信仰、与现有宗教的社会关系程度、宗教在其生活中的作用以及祈祷频率。评估埃德蒙顿症状评估量表（ESAS）和医院焦虑抑郁量表（HADS）。
共筛查了283例患者。发现年龄和性别与宗教信仰独立相关（分别为p = 0.042和p = 0.016）。性别（女性，p = 0.026）、年龄（p = 0.003）、较低的卡氏功能状态（KPS）（p = 0.022）以及较高的HADS-A值（p = 0.003）与与现有宗教的社会关系程度独立相关。性别（女性，p = 0.002）、较低的KPS（p = 0.005）以及较高的HADS-A值（p = 0.04）与宗教信仰更相关的作用独立相关。性别（女性，p < 0.0005）、较低的KPS（p = 0.001）以及嗜睡（p = 0.05）与祈祷频率独立相关。
患者面临的宗教问题越多，焦虑状态越严重，尤其是在KPS较低的老年女性患者中。宗教模式在ESAS所包含的其他症状表现中没有相关作用。
